Contraceptive Desert? Black-White Differences in Characteristics of Nearby Pharmacies
Contraceptive Desert? Black-White Differences in Characteristics of Nearby Pharmacies
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DOI：
10.1007/s40615-019-00570-3
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发表时间：
2019-08-01
影响因子：
3.9
通讯作者：
Farris, Karen
中科院分区：
文献类型：
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作者：
Barber, Jennifer S.;Ela, Elizabeth;Farris, Karen
在避孕药具的使用和药店的地理可及性方面的种族差异是公认的。研究设计我们使用两个与地理编码相关的数据集进行了分析：（1）关系动态和社会生活（RDSL）项目，2008-09年对密歇根州一个县1003名年龄在18-19岁的女性进行了随机抽样研究;和（2）社区药房调查，收集了RDSL研究所在县82家药房的数据。结果尽管年轻的非洲裔美国妇女往往比白色同龄人住得更靠近药房，（非洲裔美国人距离最近的药店1.2英里，白人距离最近的药店2.1英里），这些药店往往是独立的药店（59英里，白人距离最近的药店2.1英里）。每周开放时间较少（64.6 vs. 77.8），女药剂师较少（17 vs. 50%），关于避孕的患者手册较少（2 vs. 5%），更难获得避孕套（49% vs. 85%在货架上，而不是在玻璃后面、柜台后面或没有），自助结账选择较少（3 vs. 9%）。更多的非洲裔美国人比白色妇女住在非洲裔美国人药剂师附近（8%对3%）。这些种族差异是不考虑贫困，衡量收到的公共assistance.ConclusionsRelative的白色妇女，非洲裔美国妇女可能会面临一个避孕沙漠，其中他们住得更近的药店，但这些药店的特点，可能会阻碍购买避孕。
ObjectivesRace differences in contraceptive use and in geographic access to pharmacies are well established. We explore race differences in characteristics of nearby pharmacies that are likely to facilitate (or not) contraceptive purchase.Study DesignWe conducted analyses with two geocode-linked datasets: (1) the Relationship Dynamics and Social Life (RDSL) project, a study of a random sample of 1003 women ages 18-19 living in a county in Michigan in 2008-09; and (2) the Community Pharmacy Survey, which collected data on 82 pharmacies in the county in which the RDSL study was conducted.ResultsAlthough young African-American women tend to live closer to pharmacies than their white counterparts (1.2miles to the nearest pharmacy for African Americans vs. 2.1miles for whites), those pharmacies tend to be independent pharmacies (59vs. 16%) that are open fewer hours per week (64.6 vs. 77.8) and have fewer female pharmacists (17 vs. 50%), fewer patient brochures on contraception (2 vs. 5%), more difficult access to condoms (49% vs. 85% on the shelf instead ofbehind glass, behind the counter, or not available), and fewer self-check-out options (3 vs. 9%). More African-American than white women live near African-American pharmacists (8 vs. 3%). These race differences are regardless of poverty, measured by the receipt of public assistance.ConclusionsRelative to white women, African-American women may face a contraception desert, wherein they live nearer to pharmacies, but those pharmacies have characteristics that may impede the purchase of contraception.